Pharmacie Kennedy Mulhouse

Coeliac disease: how can a child’s school meals be arranged?

An individualised care plan sets out gluten-free meals in group care and arrangements for any family-packed meal.

Editorial illustration of a health discussion; it does not depict the pharmacy’s actual premises.
Editorial illustration — Kennedy Pharmacy Mulhouse

General information, not an individual diagnosis. Ask a healthcare professional if you are unsure about your situation.

For a child with confirmed coeliac disease, a strict gluten-free diet continues for life. Meals in childcare, school and after-school activities therefore need planning with the adults involved.

Ameli advises setting out meal arrangements in an individualised care plan, called a PAI in France. The family requests it from the establishment caring for the child.

The doctor following the child specifies the diet in a prescription. The PAI is developed with the family and relevant health professionals, depending on the setting, then with the establishment and catering service.

Two arrangements may be considered: a gluten-free meal supplied by the catering service or a packed meal and, if needed, snack prepared by the family. Agree with the establishment which solution applies to your child.

If the family prepares the packed meal, it is responsible from preparation through consumption. The PAI specifies transport, storage and consumption, including maintaining the cold chain.

Also check arrangements for after-school activities and outings with the team. The PAI organises group meals; it does not replace the agreed medical appointments and tests for coeliac disease.

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